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1619689825
MICHAEL BOULWARE
CHARLOTTE, NC
NPI
1619689825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P018428)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
Mr. MICHAEL BOULWARE LCSWA
6637 SOMERSWORTH DR
CHARLOTTE, NC 28215-1840
Phone number: 704-666-3280
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Mailing Address
Mr. MICHAEL BOULWARE LCSWA
6637 SOMERSWORTH DR
CHARLOTTE, NC 28215-1840
Phone number: 704-666-3280
Copy
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